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胰管结石的发病机制与治疗

Mechanism and treatment of pancreatic duct stones.

作者信息

Wu Sheng, Zheng Ye, Mou Jiang-Wei, Zhang Yan-Jun, Zhu Ke-Xiang

机构信息

The First Clinical Medical College, Lanzhou University, Lanzhou 730000, Gansu Province, China.

Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China.

出版信息

World J Gastrointest Surg. 2025 Aug 27;17(8):108312. doi: 10.4240/wjgs.v17.i8.108312.

DOI:10.4240/wjgs.v17.i8.108312
PMID:40949369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12427047/
Abstract

Pancreatic duct stones (PDS) pose substantial therapeutic challenges owing to their tendency to induce recurrent pain and discomfort mechanical irritation and ductal obstruction, resulting in a marked decline in patients' quality of life. The pathogenesis of pancreatic duct calculi remains incompletely understood due to its multifactorial and intricate nature. Advances in minimally invasive endoscopic interventions have broadened the available treatment modalities for PDS. This review summarizes current perspectives on the mechanisms driving stone formation alongside evolving therapeutic strategies.

摘要

胰管结石(PDS)因其易于引发反复疼痛和不适、机械刺激及导管阻塞,导致患者生活质量显著下降,从而带来了巨大的治疗挑战。由于胰管结石的发病机制具有多因素和复杂性,目前仍未完全明确。微创内镜干预技术的进展拓宽了胰管结石的可用治疗方式。本综述总结了目前关于结石形成机制的观点以及不断发展的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb7/12427047/a6a7c1e11c7e/wjgs-17-8-108312-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb7/12427047/a6a7c1e11c7e/wjgs-17-8-108312-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb7/12427047/a6a7c1e11c7e/wjgs-17-8-108312-g001.jpg

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本文引用的文献

1
Adverse events of pancreatic extracorporeal shock wave lithotripsy: a literature review.胰腺体外冲击波碎石术的不良反应:文献综述。
BMC Gastroenterol. 2023 Oct 18;23(1):360. doi: 10.1186/s12876-023-02992-0.
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Per-oral pancreatoscopy-guided lithotripsy vs. extracorporeal shock wave lithotripsy for treating refractory main pancreatic duct stones in chronic pancreatitis: Protocol for an open-label multi-center randomized clinical trial.经口胰管镜引导下碎石术与体外冲击波碎石术治疗慢性胰腺炎难治性主胰管结石的开放标签多中心随机临床试验方案。
Pancreatology. 2022 Dec;22(8):1120-1125. doi: 10.1016/j.pan.2022.09.245. Epub 2022 Oct 15.
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Overcoming Ductal Block: Emergency ERCP and Sphincterotomy Plus Common Bile Duct Stenting Improves Therapeutic Outcomes in Severe Gallstone Pancreatitis.
克服胆管梗阻:急诊内镜逆行胰胆管造影术及括约肌切开术加胆总管支架置入术可改善重症胆石性胰腺炎的治疗效果。
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Lancet. 2020 Aug 15;396(10249):499-512. doi: 10.1016/S0140-6736(20)31318-0.
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A Network Meta-analysis of Surgery for Chronic Pancreatitis: Impact on Pain and Quality of Life.网络荟萃分析慢性胰腺炎手术治疗:对疼痛和生活质量的影响。
J Gastrointest Surg. 2020 Dec;24(12):2865-2873. doi: 10.1007/s11605-020-04718-z. Epub 2020 Jul 23.
8
Diagnosis and Management of Chronic Pancreatitis: A Review.慢性胰腺炎的诊断和治疗:综述。
JAMA. 2019 Dec 24;322(24):2422-2434. doi: 10.1001/jama.2019.19411.
9
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Curr Gastroenterol Rep. 2019 Dec 4;21(11):63. doi: 10.1007/s11894-019-0727-0.
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Endosc Int Open. 2019 Jul;7(7):E896-E903. doi: 10.1055/a-0889-7743. Epub 2019 Jul 3.